Douglas H Bailyn, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

222452 Issued in NY

Legal business name

DOUGLAS H BAILYN, MD, PC

Practice address

380 2ND Ave
Suite 1002
New York, NY 10010-5615

Phone

(212) 777-1510

Fax

(212) 375-0539

NPI assigned

Jul 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Harry Bailyn, M.D.NPI 1306885470

Title

President

Phone

(212) 777-1510

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DAGHAA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Harry Bailyn, M.D.

  • Nephrology Physician
  • New York, NY
  • NPI 1306885470
  Medicare reassignment NPD Authorized official
• Timothy Pierce, NP

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1922631258
  Medicare reassignment NPD
• Ashley Marie Walton, FNP-C

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1790460525
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1710992482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 PLAZA ST W",
            "address_2": "APT. 11A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173905",
            "telephone_number": "212-571-3331",
            "fax_number": "212-375-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 2ND AVE",
            "address_2": "SUITE 1002",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105615",
            "telephone_number": "212-777-1510",
            "fax_number": "212-375-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS H BAILYN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "BAILYN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-777-1510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222452",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "222452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02654117",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas a Schwartz, D.O., P.C. Eastside Medical Group
• Douglas Allen, DO PC
• Douglas B. Friedrich, MD, P. C.
• Douglas B. Friedrich, MD, P.C.
• Douglas B. Seckendorf DC PC
• Douglas J Vander Heide MDPC
• Douglas J. Van Der Heide, M.D. LLP
• Douglas Psychotherapy Services, LCSW, PC
• Barbara Douglas-Lindo, EDM
• Angela Douglas-Staley, RN, NP

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.